For the Clinician and Client October 19, 2009 Steve Bradley-Bull, - - PowerPoint PPT Presentation

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For the Clinician and Client October 19, 2009 Steve Bradley-Bull, - - PowerPoint PPT Presentation

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UNC-CH School of Social Work Clinical Lecture Series presents The Journey of Grief: For the Clinician and Client October 19, 2009 Steve Bradley-Bull, MA, MEd, LPC Center for All Seasons center4allseasons@hotmail.com 1 Intention of Lecture

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UNC-CH School of Social Work Clinical Lecture Series presents

The Journey of Grief: For the Clinician and Client

October 19, 2009 Steve Bradley-Bull, MA, MEd, LPC Center for All Seasons center4allseasons@hotmail.com

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Intention of Lecture

► Aim: Help prepare participants to work more effectively with grieving clients through exploring participants’ own losses and perspectives on life, death, and grief. ► Methods: Offering participants additional knowledge and engaging participants in a variety of experiential exercises related to grief and mourning.

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Check-In ► Name and/or relationship to you ► Something that has been helpful for you in your grief

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Grief and Mourning: Defined

Grief — The thoughts and feelings

  • n the inside after someone dies

Mourning — The outward expression

  • f those thoughts and feelings

“We all grieve when someone dies, but if we are to heal, we must also mourn.”

~ Alan D. Wolfelt

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Grief and Mourning: Impacts

Both impact our entire experience ► physically ► cognitively ► emotionally ► behaviorally ► religiously / spiritually

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Grief and Mourning: Experience

Our experience ► is never completed but is instead managed ► is a process of remembering and maintaining a relationship with the deceased ► is an individualistic process

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Grief and Mourning: Process

► “Moving forward with our life knowing

  • ur loved one is no longer here.”

► There are basic needs or aspects

  • f grief and mourning that we need

to “yield” to or “experience fully” if we are to heal.

~ Alan D. Wolfelt

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Self-Care

Early, often, throughout:

► Eating ► Sleeping ► Exercise / Movement ► Support (internal and external)

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Adapted from Alan D. Wolfelt, Unicorn Bereavement Center, Elisabeth Kubler-Ross

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Acknowledging the Reality of the Death

Experience: Shock, denial, fear, relief Interventions: Story telling Concerns: Unhealthy coping mechanisms Needs: Normalization, safety, planning

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Experiencing the Pain of Loss

Experience: Feelings, realizations, questions Interventions: Healthy and safe environment Concerns: Avoidance Needs: Trust, space, support

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Remembering the Person Who Died and the Relationship Realistically

Experience: Ambivalence, confusion, connection Interventions: Remembering Concerns: Cultural complications Needs: Permission, honesty, rituals

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Searching for Meaning

Experience: Self inquiry Interventions: Education and exploration Concerns: Not maintaining a healthy relationship with the deceased Needs: Understanding, acceptance, meaning

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Developing a New Identity and Re-investing in the Future

Experience: Adjustment, awareness, resistance Interventions: Facilitation, goal setting, problem solving Concerns: Frustration, fear of future losses, unhealthy positive aspects Needs: Courage, self- care, ongoing support

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Adapted from Alan D. Wolfelt, Unicorn Bereavement Center, Elisabeth Kubler-Ross

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Process of Grief and Mourning: Review

► Never completed; managed ► Need for process to be gradual ► Importance of engagement in process ► Variety of modalities for healing ► Awareness of cultural complications ► Process often “messy” and not linear

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Wanting Memories

Kaeli Reichel

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Check-In ► Were there any parts

  • f the song that were

meaningful to you or that related to your experience

  • f grief and mourning?
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Grief and Mourning Work for ourselves and with others

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Grief and Mourning: History

► Why do you grieve and mourn the way you do?

► What was modeled to you growing up? ► What cultural messages have you received

about grief and mourning?

► What is similar now to how you grew up

grieving and what is different?

► Are there any aspects of your grief and

mourning (processes) that are not healthy?

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Personal Relationship to Death ► Books ► Beliefs ► Practices

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Five Remembrances

► I am of the nature to grow old. There is no way to escape

growing old. ►I am of the nature to have ill health. There is no way to escape ill health. ►I am of the nature to die. There is no way to escape death. ►All that is dear to me and everyone I love are of the nature to change. There is no way to escape being separated from them. ►My actions are my only true belongings. I cannot escape the consequences of my actions. My actions are the ground on which I stand. ~ Buddha

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Life Review Stephen Levine suggests reflecting on ► gratitude ► forgiveness

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I’m Ready

Tracy Chapman

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Check-In ►

Was there anything resonating for you related to the song?

►

Are there practices that invite you to reflect on your beliefs and thoughts about your own death?

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Blessings for Those Who Remain

Leader: In the rising of the sun and its going down, People: We remember them. Leader: In the blowing of the wind and the chill of winter, People: We remember them. Leader: In the opening buds and rebirth of spring, People: We remember them. Leader: In the blueness of the sky and the warmth of summer, People: We remember them. Leader: In the rustling of the leaves and the beauty of autumn, People: We remember them. Leader: In the beginning of the year and when it ends, People: We remember them.

continued…

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Blessings for Those Who Remain

continued…

Leader: When we are weary and in need of strength, People: We remember them. Leader: When we are lost and sick of heart, People: We remember them. Leader: When we have joys we yearn to share, People: We remember them. Unison: So long as we live, they too shall live, for they are a part of us, as we remember them.

“The Gates of Repentance” Jewish High Holy Day Prayer Book

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References

Kubler-Ross, E. (1968). On Death and Dying. New York: Touchstone. Levine, S. (1997). A Year to Live: How to Live This Year as if It Were Your Last. New York: Bell Tower. Wolfelt, A. D. (2007). Center for Loss and Life Transition. The Journey Through Grief: The Mourner’s Six Reconciliation

  • Needs. Retrieved on October 10, 2009, from

http://www.centerforloss.com/articles.php?file=journey.php Unicorn Bereavement Center: Duke Home Care and Hospice.

1001 Corporate Drive, Hillsborough, NC 27278 (919) 644.6869 http://dhch.duhs.duke.edu/modules/dhccbereave/index.php?id=1

Additional resources on death, dying, and bereavement: Ken Doka, Robert Neimeyer, Therese Rando, William Worden

Thanks to Willow Graphics for the logo and grief wheel graphics